| State Agency Reporting Burden | 
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		| CFR | Action | Number of Respondents | Est. Frequency per Respondent | Total Annual Responses | Burden Hours Per Response | Total Burden Hours | Previous Submission Total Hours | Difference Due to Program Changes | Difference Due to Adjustments | 
	
		| 272.2 | Program Activity Statement | 53 | 4 | 212 | 15 | 3,180 | 950.29 | 2,229.71 | 0 | 
	
		| 272.15 | NDNH -Applicant/Recipient Screening | 53 | 172796.98 | 9,158,240 | 0.017 | 155,690.08 | 0 | 155,690.08 | 0 | 
	
		| 272.15 | NDNH - Verification of Match | 53 | 23350.943 | 1,237,600 | 0.03 | 37,128 | 0 | 37,128.00 | 0 | 
	
		| 272.15 | NDNH - Notice of Adverse Action or Notice of Denial | 53 | 9340.3773 | 495,040 | 0.03 | 14,851.20 | 0 | 14,851.20 | 0 | 
	
		| Total | 53 | 205,492.30 | 10,891,092 | 0.019359792388128 | 210,849.28 | 950.29 | 209,898.99 | 0 | 
	
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		| Household Reporting Burden | 
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		| CFR | Action | Number of Respondents | 
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		| 272.15 | NDNH - Request for Contact | 891,072 | 1 | 891,072 | 0.03 | 26,732.16 | 
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		| 272.15 | NDNH - Notice of Adverse Action or Notice of Denial | 495,040 | 1 | 495,040 | 0.03 | 14,851.20 | 
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		| Total | 891,072 | 1.5555555 | 1,386,112 | 0.03 | 41,583.36 | 
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		| Summary of Burden | 
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		| Respondent Type | Number of Respondents | Total Annual Responses | Burden Hours Per Response | Total Burden Hours | 
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		| State Agency - Reporting | 53 | 10,891,092 | 0.019359792388128 | 210,849.28 | 
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		| Household - Reporting | 891,072 | 1,386,112 | 0.03 | 41,583.36 | 
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		| Total | 891,125 | 12,277,204 | 0.020561085406743 | 252,432.64 | 
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